| NPI | 1487067435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 60500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VT 042.0019019) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2026-08-23 |