| NPI | 1578859526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 57544) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 62488-20) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2022-09-08 |