| NPI | 1699189985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H0089242) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021329) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2026-05-28 |