| NPI | 1578050340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301508471) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 76064) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-01-13 |