| NPI | 1205363801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 69780) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101023352) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2021-11-17 |