| NPI | 1942932702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 3029) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151015372) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-07-22 |