| NPI | 1659755627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2025-02917) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0084935) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2025-10-15 |