| NPI | 1588868699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX m9736) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301506095) |
| 207P00000X Emergency Medicine (Licence: OH 35.090352) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2026-06-04 |