| NPI | 1417311804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0062507) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 11763961-1205) |
| 207PS0010X Emergency Medicine Sports Medicine (Licence: UT 11763961-1205) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-04-29 |