| NPI | 1184615494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2014-0253) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G79689) |
| 207P00000X Emergency Medicine (Licence: CO 44622) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2024-02-16 |