| NPI | 1730641903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301513770) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0073269) |
| 207P00000X Emergency Medicine (Licence: OH 35.143056) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-06-30 |