| NPI | 1518125715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0060278) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 16695) |
| 207Q00000X Family Medicine (Licence: NC 2010-01005) | |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2021-05-17 |