| NPI | 1770043770 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 74291) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 291276) | 
| Enumeration Date | 2019-03-25 | 
| Last Update Date | 2024-09-23 |