| NPI | 1962643049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A104585) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 245933) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2021-12-15 |