| NPI | 1386266013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY TP258) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301509631) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-07-10 |