| NPI | 1023675790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 74710) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1024343) |
| 207P00000X Emergency Medicine (Licence: NC 262589) | |
| 207P00000X Emergency Medicine (Licence: IN 01096886A) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2026-06-25 |