| NPI | 1972234375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 82453) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1024978) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2025-10-21 |