| NPI | 1366062325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 073665) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 204583) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2025-12-11 |