| NPI | 1508353178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2024041779) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 76259) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2025-08-04 |