| NPI | 1699238550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.152898) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU M-2376) |
| 207P00000X Emergency Medicine (Licence: VA 0101275374) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-07-01 |