| NPI | 1548423817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0060345) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 246674) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2021-02-24 |