| NPI | 1033731369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2026-04108) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0074035) |
| 207P00000X Emergency Medicine (Licence: MI 5101027262) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2026-09-25 |