| NPI | 1972036416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 71125) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2020-00206) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-11-07 |