| NPI | 1619531225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81055) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5315205384) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2023-08-02 |