| NPI | 1659637437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60629314) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A126620) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2026-04-10 |