| NPI | 1174830194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 64445) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 64445) |
| 207P00000X Emergency Medicine (Licence: NY 2793471) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 2793471) | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2025-07-09 |