| NPI | 1649707480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 1910) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 76330) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-07-16 |