| NPI | 1811436793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 74471-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 75402) |
| 207P00000X Emergency Medicine (Licence: OH 34.014044) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-11-14 |