| NPI | 1679836712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60624260) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR0055401) |
| 207P00000X Emergency Medicine (Licence: CO 4486) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2024-03-25 |