| NPI | 1659014264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 68) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME175869) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2025-08-11 |