| NPI | 1154079697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 90153) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL90153) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2025-10-28 |