| NPI | 1275948218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0062456) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 140010) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2021-05-12 |