| NPI | 1265883276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 71138-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 65558) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2019-06-27 |