| NPI | 1659583730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM Md2010-0046) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 47017) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-04-30 |