| NPI | 1821739962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2025044898) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 05-51920) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-04-08 |