| NPI | 1548821879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 73836) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 0302R) |
| 207P00000X Emergency Medicine (Licence: OK 6990) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-08-07 |