| NPI | 1518346378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0059885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0059885) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0005581) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2025-08-14 |