| NPI | 1598050023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-41561) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0057719) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-41561) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0057719) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2020-01-22 |