| NPI | 1205028735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0048185) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 48185) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2020-01-13 |