| NPI | 1366402240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME134168) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301081212) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301081212) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2017-12-04 |