| NPI | 1164513917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-13271) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 78787) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2025-08-18 |