| NPI | 1396088852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 75045) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35 128360) |
| 207P00000X Emergency Medicine (Licence: OR MD219102) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-03-03 |