| NPI | 1174834311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101018936) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 82057) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2025-10-03 |