| NPI | 1922688480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2024-01604) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL83548) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-06-13 |