| NPI | 1700141900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0054773) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P9526) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2015-10-24 |