| NPI | 1720540610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61538456) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A181137) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-11-14 |