| NPI | 1194766055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 105798) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 47963-020) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-03-02 |