| NPI | 1174154553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101273537) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU M-2478) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2025-06-09 |