| NPI | 1063918381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD229845) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TN 71040) |
| 207P00000X Emergency Medicine (Licence: MA 1013812) | |
| 207P00000X Emergency Medicine (Licence: TN 71040) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2026-07-21 |