| NPI | 1528696374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2022028987) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 05-47690) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2026-05-31 |