| NPI | 1164495032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 37292) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD495552) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2026-08-18 |