| NPI | 1720460686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2018033172) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301509676) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2025-08-04 |