| NPI | 1922686427 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2024024972) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 13000189-1205) | 
| Enumeration Date | 2021-03-29 | 
| Last Update Date | 2024-08-16 |