| NPI | 1699154237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A155640) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301107568) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2023-01-23 |