| NPI | 1710181219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 244478) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 48119) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2011-09-20 |