| NPI | 1598792814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP00002240) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101015754) |
| 207P00000X Emergency Medicine (Licence: OH 34C.000182) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-10-23 |