| NPI | 1992236699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A172169) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT213131) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2021-09-12 |