| NPI | 1114136132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 7625671-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 141220) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2026-02-04 |