| NPI | 1992097695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 55916) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0053676) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2018-03-09 |