| NPI | 1952797946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 1952797946) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 33074) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2020-12-21 |