| NPI | 1730797366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 72056) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 31694) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-08-10 |