| NPI | 1649250168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301513855) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 42063) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-06-02 |