| NPI | 1487754222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 48080) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 037752) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-07-15 |