| NPI | 1770228785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151015601) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101027530) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-05-16 |