| NPI | 1497133854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 63964) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 69568) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2022-06-27 |