| NPI | 1083860209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60166252) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 26326) |
| 207P00000X Emergency Medicine (Licence: KS 04-35884) | |
| 207P00000X Emergency Medicine (Licence: MO 2012023208) | |
| 207P00000X Emergency Medicine (Licence: NV 26977) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2025-07-03 |