| NPI | 1437505336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0058874) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0005982) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2020-01-31 |