| NPI | 1093378754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-50109) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0065129) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0007850) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2022-10-11 |