| NPI | 1922756907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME174162) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 351191) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2026-05-20 |