| NPI | 1336768555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81824) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 73135) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2023-06-30 |