| NPI | 1104485978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301506584) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351045032) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2022-08-03 |