| NPI | 1952939100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81364) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 30864) |
| 207P00000X Emergency Medicine (Licence: MN 69698) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-05-06 |