| NPI | 1629656343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS21067) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2025-00108) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-01-30 |