| NPI | 1245850171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301508887) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351046722) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-05-12 |