| NPI | 1316111263 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 5101017396)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02008166A)  | 
| 207P00000X Emergency Medicine (Licence: IL 036173414)  | |
| Enumeration Date | 2008-04-22 | 
| Last Update Date | 2025-02-21 |