| NPI | 1720241458 |
|---|---|
| Former Name | COLETTE CUSHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO159435) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 003004) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2016-11-01 |