| NPI | 1790952505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 70419) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A 114078) |
| 207P00000X Emergency Medicine (Licence: NJ 25IA12389100) | |
| 207P00000X Emergency Medicine (Licence: MS 34336) | |
| 207P00000X Emergency Medicine (Licence: OH 35C.001825) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2026-01-27 |