| NPI | 1497076798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 86999) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2013018501) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2026-04-28 |