| NPI | 1629631395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 27240) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 100905) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 100905) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2026-01-28 |