| NPI | 1720547748 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151013590) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 06148) | 
| 207P00000X Emergency Medicine (Licence: IN 02008487A) | |
| Enumeration Date | 2019-03-19 | 
| Last Update Date | 2025-07-10 |