| NPI | 1093749475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301099496) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 67274) |
| 207P00000X Emergency Medicine (Licence: MN 48139) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-09-30 |