| NPI | 1205065505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2015032691) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 62879) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2025-07-22 |