| NPI | 1578128138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2025-01746) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101271490) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2025-07-23 |