| NPI | 1740501634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q2661) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301096770) |
| 207P00000X Emergency Medicine (Licence: MD D0076009) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2024-09-16 |