| NPI | 1831728997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 69589) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 30901) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2021-08-27 |