| NPI | 1649569864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 67285) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 805320) |
| 207P00000X Emergency Medicine (Licence: TN 52707) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2020-07-23 |