| NPI | 1962148189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA DO-07030) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151015498APP22) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2025-05-30 |