| NPI | 1598127326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059202) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL.0005995) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-09-19 |