| NPI | 1407421662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 112926) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 86075) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2026-05-14 |