| NPI | 1407118037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: GA 85278) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301100925) |
| 207P00000X Emergency Medicine (Licence: NC 2015-01358) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2023-10-26 |