| NPI | 1184374001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 79760) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 85709) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-08-28 |