| NPI | 1437509874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 65674) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 65674) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2020-12-04 |