| NPI | 1144571308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 56218) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5315046233) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2013-09-16 |