| NPI | 1780767053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 012201915) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A18214) |
| 207R00000X Internal Medicine (Licence: VA BB9985966) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-04-07 |