| NPI | 1073876751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0059195) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R73258) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2026-05-19 |