| NPI | 1568819514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S6307) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101022484) |
| 207P00000X Emergency Medicine (Licence: MI 531076324) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-07-29 |