| NPI | 1336182955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 49636) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 25771) |
| 207P00000X Emergency Medicine (Licence: WI 53721) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-03-18 |