| NPI | 1255743266 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0082927)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 201208)  | 
| Enumeration Date | 2014-05-25 | 
| Last Update Date | 2025-06-13 |