| NPI | 1720584014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 65908) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 29197) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2021-10-20 |