| NPI | 1225392210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0054166) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2016-00590) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2016-00590) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2020-02-18 |