| NPI | 1922673938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 76315) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 83764) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-07-15 |