| NPI | 1144818196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: UT 14281756-1204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R4033) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2026-08-26 |