| NPI | 1205254497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 65357) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301105288) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2025-06-16 |