| NPI | 1174148399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CO DR.0070780) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.076258) |
| 207P00000X Emergency Medicine (Licence: CO DR.0070780) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2023-06-20 |