| NPI | 1033471842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WY 10265A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 4303) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2026-02-25 |