| NPI | 1376992495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301119384) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301109388) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-01-30 |