| NPI | 1982135075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A16667) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 342781-01) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2026-08-12 |