| NPI | 1154687044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 190146) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01073317A) |
| 207P00000X Emergency Medicine (Licence: WA MD60864608) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2025-09-04 |