| NPI | 1477710473 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2014-02548)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01066266A)  | 
| 207P00000X Emergency Medicine (Licence: OH 57.012215)  | |
| 207P00000X Emergency Medicine (Licence: WI 73807)  | |
| Enumeration Date | 2008-05-19 | 
| Last Update Date | 2025-04-16 |