| NPI | 1699064873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO dr0055331) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102203848) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2015-08-25 |