| NPI | 1356769996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MN 65450) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 65450) |
| 207P00000X Emergency Medicine (Licence: MN 65450) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2019-07-23 |