| NPI | 1932720224 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-126078)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R77968)  | 
| Enumeration Date | 2020-04-28 | 
| Last Update Date | 2023-09-26 |