| NPI | 1134618572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301503845) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 83545-20) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2024-03-26 |