| NPI | 1801425095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 324442) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 96350) |
| 207P00000X Emergency Medicine (Licence: IN 01098926A) | |
| 207P00000X Emergency Medicine (Licence: MA 1026679) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-04-21 |