| NPI | 1710516729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301508985) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 261658) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-05-13 |