| NPI | 1811969215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A104228) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101233352) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2026-04-22 |