| NPI | 1316980196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301090924) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0064396) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2026-05-05 |