| NPI | 1770288474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 77564) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 33504) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-08-09 |