| NPI | 1104890250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 41002) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MN 41002) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-10-08 |