| NPI | 1669415246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00048173) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 237078-1) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2026-07-10 |