| NPI | 1902063852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 2733) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 33055) |
| 207P00000X Emergency Medicine (Licence: MD D0102370) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2025-09-08 |