| NPI | 1982265112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 77448) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014123) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-06-28 |