| NPI | 1013146729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CO DR.0056021) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R71682) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2023-10-03 |