| NPI | 1790302263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 94448) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 73734) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2025-08-04 |