| NPI | 1417391301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WY 16757C) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO CDR0003720) |
| 207P00000X Emergency Medicine (Licence: IN 01094234A) | |
| 207P00000X Emergency Medicine (Licence: NY 279492) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2025-09-26 |