| NPI | 1528440245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301108109) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 62969) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2019-12-04 |