| NPI | 1891008728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD162023) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R72309) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2025-12-12 |