| NPI | 1851898696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2023-0070) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0067945) |
| 207P00000X Emergency Medicine (Licence: CA A163916) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-04-21 |