| NPI | 1851952386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 19384) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101026179) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-08-01 |