| NPI | 1316203235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 76771) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2025-0565) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2025-06-30 |