| NPI | 1841796315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 311073) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 65989) |
| 207P00000X Emergency Medicine (Licence: MN 29166) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-05-13 |