| NPI | 1215291448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 69330) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301100349) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2018-07-26 |