| NPI | 1689319170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101028447) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151015471) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2025-08-04 |