| NPI | 1770932725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 66220) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301110293) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2020-06-26 |