| NPI | 1396486825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 74632) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 32499) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2024-04-30 |