| NPI | 1376048041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 76135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 72759) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-06-25 |