| NPI | 1386789824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2020-0385) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 46229) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 2016) | |
| 207P00000X Emergency Medicine (Licence: NY 314828) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-05-24 |