| NPI | 1710618145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151015934) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.017176) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2024-07-24 |