| NPI | 1396539144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 83042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 35142) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2026-07-14 |