| NPI | 1538541867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 299007) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021875) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-10-27 |