| NPI | 1023549847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 98444) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.136549) |
| 207P00000X Emergency Medicine (Licence: IL 336130729) | |
| 207P00000X Emergency Medicine (Licence: WI 86080-20) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-11-06 |