| NPI | 1285165696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101275686) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0063532) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-09-07 |