| NPI | 1225418775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 71185-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301107427) |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2022-01-04 |