| NPI | 1629402433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 97326) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL UO2335) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2025-06-03 |