| NPI | 1669442224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0056041) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0427008) |
| 207P00000X Emergency Medicine (Licence: KS 0427008) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2016-06-23 |