| NPI | 1093804460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0038923) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD24027) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-10-30 |