| NPI | 1033771126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 70713) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351045618) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-06-22 |