| NPI | 1376983064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 59476) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 55884) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2023-11-06 |