| NPI | 1508903691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 3992) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101016457) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-06-27 |