| NPI | 1457881344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME148537) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301119389) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-03-18 |