| NPI | 1508395708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 67381) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 75021-20) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-02-21 |