| NPI | 1811061328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101010551) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101010551) |
| 207P00000X Emergency Medicine (Licence: CO DR.0051971) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2013-11-11 |