| NPI | 1629643218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101027414) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1017816) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2024-05-20 |