| NPI | 1669469441 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2008-00291)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 00026575)  | 
| Enumeration Date | 2005-10-05 | 
| Last Update Date | 2024-02-16 |