| NPI | 1831548676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 64689) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 75939-20) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2026-06-02 |