| NPI | 1164008090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0077314) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0077314) |
| 207Q00000X Family Medicine (Licence: CA A181951) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A181951) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2026-06-18 |