| NPI | 1518037324 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 43449) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 36171) | 
| Enumeration Date | 2006-11-09 | 
| Last Update Date | 2020-10-08 |