| NPI | 1699854851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 47835) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 87882-20) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2026-08-20 |