| NPI | 1780213231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 78900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 77240-21) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-08-08 |