| NPI | 1831352582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2021-0193) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0065920) |
| 207Q00000X Family Medicine (Licence: VA 0101251996) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-05-02 |