| NPI | 1023458783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP60993453) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020516) |
| 207P00000X Emergency Medicine (Licence: MN 61468) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2021-04-27 |