| NPI | 1487629309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 32559) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CO 32559) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: CO 32559) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-03-11 |