| NPI | 1740701291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301517570) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 272686) |
| 207P00000X Emergency Medicine (Licence: CA A198019) | |
| 207P00000X Emergency Medicine (Licence: CT 69105) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2026-06-21 |