| NPI | 1275951600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 64255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64255) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2019-04-09 |