| NPI | 1346622685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: KS 94-12563) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021731) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2026-07-01 |