| NPI | 1700574779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 87399) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 33506) |
| 207P00000X Emergency Medicine (Licence: MN 77523) | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2026-07-02 |