| NPI | 1033184957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 39005) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0039005) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-03-10 |