| NPI | 1700454907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 96647) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2022046611) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2026-07-21 |