| NPI | 1952985640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 515315232938) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 8916) |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2025-09-13 |