| NPI | 1306871090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 55744) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01066927A) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: CO DR.0055744) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01066927A) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-08-14 |