| NPI | 1578588646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 45701) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID O-0824) |
| 207P00000X Emergency Medicine (Licence: IN 02002975) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2025-09-10 |