| NPI | 1336670926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 04767) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY TP189) |
| 207P00000X Emergency Medicine (Licence: WI 3051) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-07-14 |