| NPI | 1306402128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2019028156) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 94-09836) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2025-04-08 |