| NPI | 1528419926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301110467) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME170460) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-12-17 |