| NPI | 1962961896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 345384) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: SC 89440) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-08-11 |