| NPI | 1487115267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD211012) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 11885570-1205) |
| 207P00000X Emergency Medicine (Licence: WA MD61626705) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-06-05 |