| NPI | 1558824474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 1014965) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA MD478154) |
| 207P00000X Emergency Medicine (Licence: NY 317196) | |
| 207P00000X Emergency Medicine (Licence: OH 35.145827) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2026-07-23 |