| NPI | 1902162191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 74573) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-46212) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2023-10-18 |