| NPI | 1023116373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD 8036) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN temp 102736) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-06-02 |