NPI | 1518329929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059131) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 05-43928) |
207Q00000X Family Medicine (Licence: CO TL.0006004) | |
Enumeration Date | 2016-03-24 |
Last Update Date | 2020-10-30 |