| NPI | 1275060352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301501717) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.139641) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-06-15 |