| NPI | 1275067902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 73448) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 7078) |
| 207P00000X Emergency Medicine (Licence: OK 0322R) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-08-07 |