| NPI | 1710176755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301099613) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301099613) |
| 207P00000X Emergency Medicine (Licence: OH 57013700) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2019-08-21 |