| NPI | 1164666509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 51787) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO in progress) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2015-11-16 |