| NPI | 1821675950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME175921) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 74575) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-11-04 |