| NPI | 1639516495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA DO-55400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 73873) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2025-10-13 |