| NPI | 1184115495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 70466) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-48974) |
| 207P00000X Emergency Medicine (Licence: IA R-11183) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2022-04-28 |