| NPI | 1912103060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME130854) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301089724) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-08-18 |