| NPI | 1720347941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 37210) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 74759) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2026-03-05 |