| NPI | 1699228908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A168542) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301500958) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2024-08-01 |