| NPI | 1184070245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 305872) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 85306) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2025-03-05 |