| NPI | 1508351511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 71153) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101024211) |
| 207P00000X Emergency Medicine (Licence: MI 5151010429) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2022-06-29 |