| NPI | 1891290052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A20022) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101024338) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-07-28 |