| NPI | 1588394142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 76212) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 435104983) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-06-29 |