| NPI | 1962644377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 68515) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 2258) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2021-01-08 |