| NPI | 1225261746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0067916) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0011001) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2022-10-23 |