| NPI | 1548756257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO213853) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101024358) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-01-16 |