| NPI | 1427352947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 51521) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO 51521) |
| 207Q00000X Family Medicine (Licence: WY pending) | |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2023-12-14 |