| NPI | 1578729976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 53558) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 21206) |
| 207P00000X Emergency Medicine (Licence: CA A117018) | |
| 207P00000X Emergency Medicine (Licence: WI 56455-20) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-10-07 |