| NPI | 1477896074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-79227) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0056719) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2025-04-09 |