| NPI | 1902191547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 65604) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 65604) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2025-11-26 |