| NPI | 1881639243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0063086) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2025-01244) |
| 207P00000X Emergency Medicine (Licence: VA 0101282740) | |
| 207P00000X Emergency Medicine (Licence: GA 105536) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2025-09-11 |