| NPI | 1346803384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 75297) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 71703) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2023-09-26 |