| NPI | 1952538548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 54470) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 63932-20) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2018-01-16 |