| NPI | 1760878870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 337473) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2018-01052) |
| 207P00000X Emergency Medicine (Licence: ME MD23074) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2025-09-19 |