| NPI | 1598830069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A94931) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-09-29 |