| NPI | 1154973469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME156756) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101288083) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-05-21 |