| NPI | 1962479907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CO DR.0037378) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 37378) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2022-07-20 |