| NPI | 1942286349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 45656) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L9298) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2015-12-23 |