| NPI | 1629412382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0056491) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q5790) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2016-06-28 |