| NPI | 1578145744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81426-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 76229) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2025-08-04 |