| NPI | 1962937128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H0094881) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT017721) |
| 207P00000X Emergency Medicine (Licence: VA 0102205998) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2026-03-11 |