| NPI | 1679922694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A18877) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101022506) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2021-08-11 |