| NPI | 1285779165 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: LA 022210) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 21330) | 
| Enumeration Date | 2007-02-20 | 
| Last Update Date | 2025-09-11 |