| NPI | 1780787184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 2917) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 03449) |
| 207P00000X Emergency Medicine (Licence: GA 48431) | |
| 207P00000X Emergency Medicine (Licence: OH 34.011805) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2026-08-14 |