| NPI | 1306504253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301514733) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351048843) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2026-09-30 |