| NPI | 1598084956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 60027) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 66956-20) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2021-03-12 |