| NPI | 1740609494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS16182) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020896) |
| 207P00000X Emergency Medicine (Licence: NY 295050) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL OS16182) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2025-07-14 |