| NPI | 1679102925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 80864) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A194173) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2025-07-07 |