| NPI | 1760493472 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101011465)  | 
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI KP011465)  | 
| Enumeration Date | 2006-08-10 | 
| Last Update Date | 2023-04-18 |