| NPI | 1326456104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0060567) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 0050R) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2018-07-17 |