| NPI | 1558748723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR0060122) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A143776) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2018-07-31 |