| NPI | 1811289093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 136904) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME175149) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2025-09-03 |