| NPI | 1003497645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: NC 336153) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 339545) |
| 207P00000X Emergency Medicine (Licence: FL ME174355) | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2026-07-27 |