| NPI | 1679093389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A18823) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151013168) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2021-06-14 |