| NPI | 1285161125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 66980) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 73166-20) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-02-25 |