| NPI | 1790348704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 318086) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301511963) |
| 207P00000X Emergency Medicine (Licence: PA MD490414) | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2025-10-03 |