| NPI | 1871907477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A15267) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021317) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-03-14 |