| NPI | 1710445036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151014926) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A23930) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2025-07-29 |