| NPI | 1114771805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 101013-851) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 82141-21) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2026-03-26 |