| NPI | 1780114926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A171606) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 271949) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-08-03 |