| NPI | 1164042826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD220729) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 326343-01) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2026-07-06 |