| NPI | 1770550188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: MN 46800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 46800) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2023-06-13 |