| NPI | 1538128400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059281) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9485) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2021-08-24 |