| NPI | 1669799102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 76168) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 56691-20) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2024-08-23 |