| NPI | 1902076706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 54578) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 80910) |
| 207P00000X Emergency Medicine (Licence: CA C172605) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2023-01-11 |