| NPI | 1922676956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A203641) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT224019) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-08-07 |