| NPI | 1235796129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301512645) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 4301512645) |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2024-09-06 |