| NPI | 1467625053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 52713) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 54121020) |
| 207P00000X Emergency Medicine (Licence: MN 20438) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2022-06-10 |