| NPI | 1083879670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0055485) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 249531) |
| 207P00000X Emergency Medicine (Licence: CA A123784) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2015-09-05 |