| NPI | 1659058477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 97289) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS T-4947) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2026-08-26 |