| NPI | 1528565504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 323604) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 323604) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2025-05-10 |