| NPI | 1336606268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 33296) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME161925) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2026-04-30 |