| NPI | 1306589072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 78688) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 86067-20) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2025-07-29 |