| NPI | 1275797813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 60773) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301092411) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-08-06 |