| NPI | 1720321805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301507186) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 265506) |
| 207P00000X Emergency Medicine (Licence: CO 61774) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-09-29 |