| NPI | 1376986794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 105016) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 311266) |
| 207P00000X Emergency Medicine (Licence: ND 14167) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2025-06-18 |