| NPI | 1760976831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0068474) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT018677) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-08-09 |