| NPI | 1740620426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 266384) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301103142) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2025-04-04 |