| NPI | 1013270032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 59393) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 64191-20) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2022-06-13 |