| NPI | 1174939904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 66411) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 295212) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2020-10-08 |