| NPI | 1366183956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 012551) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.016978) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2026-08-03 |