| NPI | 1679851323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 89511) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014294) |
| 363A00000X Physician Assistant (Licence: IN 10001302A) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2023-08-14 |