| NPI | 1932545753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI L2440891) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR DO180945) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2020-05-29 |