| NPI | 1518601087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 27212) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R79301) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2025-06-27 |