| NPI | 1811748791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 80692) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 34332) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2025-08-21 |