| NPI | 1831765593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151015175APP21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 8189) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2025-08-21 |