| NPI | 1528420957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 0063765) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 312350) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2020-10-14 |