| NPI | 1407555923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0073855) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO DR.0073855) |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2026-06-17 |