| NPI | 1962764647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 62165) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ D06242065) |
| 207P00000X Emergency Medicine (Licence: CO DR0054985) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2022-08-23 |