| NPI | 1174781199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM NM2020-1093) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO TL-2836) |
| 207P00000X Emergency Medicine (Licence: CO 50414) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2023-11-14 |