| NPI | 1336700871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.152171) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301506796) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-01-27 |