| NPI | 1235861592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 80554) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 34224) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-07-30 |