| NPI | 1700837929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME142704) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200600016) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-11-24 |