| NPI | 1104454685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 79352) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MN 79352) |
| 207R00000X Internal Medicine (Licence: MN 79352) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-10-14 |