| NPI | 1114968237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 200100690) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 044208) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-06-24 |