| NPI | 1699463448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 77470) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 33402) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2024-07-10 |