| NPI | 1851991541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301513617) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.154951) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2026-03-10 |