| NPI | 1861555203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 47405) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2006-0745) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-06-11 |