| NPI | 1497043103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MO 2022014782) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019359) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2023-10-12 |