| NPI | 1609130046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 55577) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301100897) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2018-04-26 |