| NPI | 1932469475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 59267) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 63701-20) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2022-07-11 |