| NPI | 1730640707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A177926) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 74515) |
| 207P00000X Emergency Medicine (Licence: IL 125.073868) | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2025-02-09 |