| NPI | 1275228066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: KS 05-53319) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MO 2026004047) |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2026-06-30 |