| NPI | 1518594092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 78809) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA a187029) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-08-18 |