| NPI | 1023303112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 55232) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 55232) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2020-10-07 |