| NPI | 1538742812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 70963) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0075147) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2026-04-10 |