| NPI | 1609372564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI EMC0009445) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02009080A) |
| 207P00000X Emergency Medicine (Licence: OH 34C.000713) | |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2026-08-17 |