| NPI | 1942053566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 80301) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 34321) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2025-08-28 |