| NPI | 1679987259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 62220) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1024876) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2025-07-14 |