| NPI | 1841263860 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME58723) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 32807) | 
| Enumeration Date | 2006-02-09 | 
| Last Update Date | 2025-03-31 |