| NPI | 1497376065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME168519) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 347601) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2025-08-13 |