| NPI | 1811911209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA C53689) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 228857) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-12-13 |