| NPI | 1235797713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0066555) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0007547) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2022-08-31 |