| NPI | 1013356534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 0056659) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301103161) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: CO 0056659) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2023-11-27 |