| NPI | 1255358974 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 008125) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A8408) | 
| Enumeration Date | 2006-07-17 | 
| Last Update Date | 2025-06-13 |