| NPI | 1164631719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 39304) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301087587) |
| 207P00000X Emergency Medicine (Licence: TX Q9130) | |
| 207P00000X Emergency Medicine (Licence: IL 036143666) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-08-12 |