| NPI | 1679891394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301106784) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301106784) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2018-06-11 |