| NPI | 1548889058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 94516) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101277696) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-08-25 |