| NPI | 1053630913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057362) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 2244-029) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2024-01-22 |