| NPI | 1679990550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD222514) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A141856) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2025-08-25 |