| NPI | 1396064010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0056448) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CO DR.0056448) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2021-12-30 |