| NPI | 1730453101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA N119169) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0061593) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2019-04-08 |