| NPI | 1649525783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 59706) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 108338) |
| 207P00000X Emergency Medicine (Licence: MI 4301101586) | |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2015-12-07 |