| NPI | 1962845461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101020239) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME 34568) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2025-04-03 |