| NPI | 1972779825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101017669) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 76644-21) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2025-09-19 |