| NPI | 1265630560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 72957) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60082406) |
| 207P00000X Emergency Medicine (Licence: NE 30946) | |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2022-11-23 |