| NPI | 1659957165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 78302) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0072627) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-10-16 |