| NPI | 1053775429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 43010501468) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 4301501468) |
| 207P00000X Emergency Medicine (Licence: ME MD26927) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-10-02 |