| NPI | 1760611198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301094852) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: MI 4301094852) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2025-11-17 |