| NPI | 1992772057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 29846) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 40483) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2015-01-12 |