| NPI | 1124698592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4351048375) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.151694) |
| 207P00000X Emergency Medicine (Licence: IN 01094580A) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-11-22 |