| NPI | 1912011453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G72911) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2026-0247) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2026-05-29 |