| NPI | 1851979991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 05400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014903) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-06-12 |