| NPI | 1710649652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 105077) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-18272) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2025-08-25 |