| NPI | 1972063154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 67776) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 30060) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2020-10-09 |