| NPI | 1639499940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 57997) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 49114) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2020-08-12 |