| NPI | 1376077438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0063180) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME147274) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2023-02-28 |