| NPI | 1215995980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 41779) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 42808) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-09-11 |