| NPI | 1053815787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 65930) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 29591) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2022-06-27 |