| NPI | 1063707461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 63204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-41649) |
| 207P00000X Emergency Medicine (Licence: IL 125.059418) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2020-10-06 |