| NPI | 1386376606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 79922) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2022023472) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-06-04 |