| NPI | 1245645944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD70039215) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD462237) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2026-03-30 |