| NPI | 1417514233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 19898) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151013652) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2022-07-01 |