| NPI | 1558400051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2009-0130) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A87959) |
| 207P00000X Emergency Medicine (Licence: CO 45957) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-01-20 |