| NPI | 1386133478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301504115) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.142302) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301504115) | |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2025-04-14 |