| NPI | 1174766117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 66732) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 270124) |
| 207P00000X Emergency Medicine (Licence: TN 47784) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2021-11-15 |