| NPI | 1831450527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 68527) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AL 33289) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2022-07-12 |