| NPI | 1023057684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 056559) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME181644) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2026-06-08 |