| NPI | 1124758982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101286264) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT226238) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2025-06-19 |