| NPI | 1174573240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: FL ME150162) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0084717) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2025-06-30 |