| NPI | 1508913146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-03123) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 39685) |
| 207Q00000X Family Medicine (Licence: CO DR.0039684) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-08-04 |