| NPI | 1043849532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.148065) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301513913) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-10-06 |