| NPI | 1851599385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 63123) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301090517) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2021-01-20 |