| NPI | 1972180883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 71987) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 31656) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-08-11 |