| NPI | 1164860854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 17713) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2019-0724) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2025-01-16 |