| NPI | 1821589565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A173849) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME146910) |
| 207P00000X Emergency Medicine (Licence: PA MD485308) | |
| 207P00000X Emergency Medicine (Licence: TX U8781) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2025-03-26 |