| NPI | 1811485394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A174112) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-54985) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2025-07-02 |