| NPI | 1184959157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: CO DR.0050690) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P1212) |
| 207Q00000X Family Medicine (Licence: CO 50690) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2021-05-04 |