| NPI | 1447789961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301502016) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD472887) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-11-04 |