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 |