| NPI | 1356601710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0058711) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI DO00793) |
| 207P00000X Emergency Medicine (Licence: MI 5101019923) | |
| Enumeration Date | 2012-05-20 |
| Last Update Date | 2019-11-19 |