| NPI | 1619261245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 47638) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0054176) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2015-08-20 |