| NPI | 1801591672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 112721) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301514642) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-05-21 |