| NPI | 1316960032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2009-0511) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 32573) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-10-14 |