| NPI | 1932558830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301117517) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301109384) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2022-07-22 |