| NPI | 1790041762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q7847) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI EMC0004498) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2024-03-12 |