| NPI | 1164449013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: MI 4301063891) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301063891) |
| 207P00000X Emergency Medicine (Licence: ND 13063) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-06-03 |