| NPI | 1104169770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0057018) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI MD-25613) |
| 207P00000X Emergency Medicine (Licence: OR MD222051) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2025-08-22 |