| NPI | 1265474332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2007-0445) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 64867) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2026-03-27 |