| NPI | 1124550843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 74340) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0066175) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-03-29 |