| NPI | 1831650852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 74254) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 30266) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2023-05-25 |