| NPI | 1588806285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 59314) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 64378-20) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2015-11-27 |