| NPI | 1821589565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A173849) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME146910) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2022-07-05 |