| NPI | 1447604657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 26262) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60933677) |
| 207P00000X Emergency Medicine (Licence: OH 35C.003191) | |
| 207P00000X Emergency Medicine (Licence: WI 3398) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2025-10-22 |