| NPI | 1659357838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 341499) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 81492) |
| 207P00000X Emergency Medicine (Licence: MS 33487) | |
| 207P00000X Emergency Medicine (Licence: TX M0123) | |
| 207P00000X Emergency Medicine (Licence: VA 0101287890) | |
| 207P00000X Emergency Medicine (Licence: PA ME178901) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2026-08-04 |