| NPI | 1033734058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101028932) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS023241) |
| 207P00000X Emergency Medicine (Licence: DE C2-0024494) | |
| 207P00000X Emergency Medicine (Licence: MD H0100248) | |
| 207P00000X Emergency Medicine (Licence: PA OT020227) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2025-12-24 |