| 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 |