| NPI | 1972922896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101021074) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR0067290) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2022-05-04 |