| NPI | 1245551035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0051576) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-38609) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-3635) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2021-01-26 |