| NPI | 1700148699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0074492) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 006719) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2025-03-12 |