| NPI | 1821449364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 71072-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 65596) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-05-04 |