| NPI | 1912358607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 65490) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301110681) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2024-11-22 |