| NPI | 1528324472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MN 58888) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 58888) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2022-07-01 |