| NPI | 1578294435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2025-01314) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL88297) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2025-06-09 |