| NPI | 1811106354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 50570) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2010-00555) |
| 207P00000X Emergency Medicine (Licence: MI 5101016931) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-07-28 |