| NPI | 1730716721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME172309) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1015215) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-05-19 |