| NPI | 1962907261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 93627) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 286380) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2025-07-21 |