| NPI | 1770804445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 56967) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 56967) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-09-19 |