| NPI | 1336998434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 80325) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 34230) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-09-02 |