| NPI | 1285991711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60872531) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0058137) |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2022-12-14 |