| NPI | 1831149574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C55212) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101232017) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-11-09 |