| NPI | 1760892368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 16128) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT015638) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-02-11 |