| NPI | 1902855794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2010-01135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 24876) |
| 207P00000X Emergency Medicine (Licence: TX N4842) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2025-03-18 |