| NPI | 1831552199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 298636) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301510571) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2024-01-31 |