| NPI | 1780651869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 46265) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 48877) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-05-13 |