| NPI | 1124510110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 69438) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 8304) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-03-20 |