| NPI | 1497923247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 48860) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101017501) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2011-04-01 |