| NPI | 1164860854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 17713) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0057998) |
| 207P00000X Emergency Medicine (Licence: ME MD24003) | |
| 207P00000X Emergency Medicine (Licence: NM MD2019-0724) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2024-10-29 |