| NPI | 1891312112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A186658) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT221981) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2023-07-17 |