| NPI | 1407438500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME172950) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4351048444APP21) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-06-23 |