| NPI | 1912188632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A8896) |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CA 20A8896) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2021-12-14 |