| NPI | 1790125771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO CDRH.0056449) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S7413) |
| 207P00000X Emergency Medicine (Licence: AZ 60634) | |
| 207P00000X Emergency Medicine (Licence: IL 036146384) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2025-07-13 |