| NPI | 1063973725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 67870) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 29869) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-02-14 |