| NPI | 1649912619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151015818) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 05-51532) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-09-18 |