| NPI | 1013203850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0060557) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 979) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-03-18 |