| NPI | 1285950485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 56215) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60875659) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2023-04-03 |