| NPI | 1689203523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301510539) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.147058) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-11-03 |