| NPI | 1063508943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD21867) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 35641) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-02-08 |