| NPI | 1215564059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0070632) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 64694) |
| 207P00000X Emergency Medicine (Licence: IA MD-56039) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-03-11 |