| NPI | 1447601562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 68212) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WI 74059-21) |
| 207P00000X Emergency Medicine (Licence: MI 5101022642) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2021-02-08 |