| NPI | 1336645126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 65945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 29221) |
| 207P00000X Emergency Medicine (Licence: WI 81705) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-11-09 |