| NPI | 1336433150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 67047) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 73017-20) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2023-10-04 |