| NPI | 1649518630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 19425) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102203886) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2023-11-07 |