| NPI | 1215965728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 40532) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 40532) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-12-10 |