| NPI | 1790711513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 26002) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 161831) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-04-11 |