| NPI | 1275928616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 68904) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 63450) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2019-05-10 |