| NPI | 1629367479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 56395) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 262721) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2026-03-13 |