| NPI | 1013666999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 4659) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 39347) |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2026-06-04 |