| NPI | 1417344581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 1024211) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2019-0840) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2025-08-02 |