| NPI | 1457830408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101272191) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME173803) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2026-04-07 |