| NPI | 1518387885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 85454) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2017-00432) |
| 207P00000X Emergency Medicine (Licence: NV 17013) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2025-07-08 |