| NPI | 1477545374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 46945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 46945) |
| 207P00000X Emergency Medicine (Licence: OH 35055564) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-05 |