| NPI | 1407435886 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81465-21)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI Student)  | 
| Enumeration Date | 2021-04-05 | 
| Last Update Date | 2024-08-13 |