| NPI | 1578683165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 66374) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 243367-1) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-04-05 |