| NPI | 1740630482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A151197) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A151197) |
| 207P00000X Emergency Medicine (Licence: GU M-2254) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2025-05-08 |