| NPI | 1366707002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 33617) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 85-195) |
| 207P00000X Emergency Medicine (Licence: CA g44851) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2019-11-22 |