| NPI | 1073499190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MA066787) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C5-0012322) |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-28 |