| NPI | 1053936500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301509452) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351047226) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-06-14 |