| NPI | 1578980553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0060006) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 259613) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2018-07-17 |