| NPI | 1164658423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 56980) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 156995) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2024-06-21 |