| NPI | 1972162410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301509552) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 74783-20) |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2025-08-22 |