| NPI | 1295309110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2025-01587) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL86162) |
| 207P00000X Emergency Medicine (Licence: SC 86162) | |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2026-01-20 |