| NPI | 1558926535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4351044174) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 71124) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2022-05-31 |