| NPI | 1639528045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059954) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0006106) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2020-04-01 |