| NPI | 1083330047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV SL2094) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 2991) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2026-07-16 |