| NPI | 1659668093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A15313) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013975) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-07-21 |