| NPI | 1356704498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-73042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2018-0895) |
| 207P00000X Emergency Medicine (Licence: NM 390200000) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2025-04-09 |