| NPI | 1184067217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 63973) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 55182) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2019-08-27 |