| NPI | 1720738362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 13510286-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 75724) |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2025-03-10 |