| NPI | 1184368805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ R3769) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA OP61645477) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2025-09-05 |