| NPI | 1093975708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 60739) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2012-02324) |
| 207P00000X Emergency Medicine (Licence: VA 0101246524) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2021-12-09 |