| NPI | 1811638521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 74620) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 85374) |
| 207P00000X Emergency Medicine (Licence: MN 32750) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-05-01 |