| NPI | 1578902953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101020426) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101020426) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2019-10-10 |