| NPI | 1477945392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.014123) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021528) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2025-06-20 |