| NPI | 1700236965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 291326) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301501905) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-08-23 |