| NPI | 1265052690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 75870) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 81502) |
| 207P00000X Emergency Medicine (Licence: MI 5101027198) | |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-05-20 |