| NPI | 1013362052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059718) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0006098) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2018-07-23 |