| NPI | 1265882807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 71424) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX s5292) |
| 207P00000X Emergency Medicine (Licence: MI 5101023497) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-07-25 |