| NPI | 1376107268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME169932) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN37036) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2026-07-09 |