| NPI | 1649682113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0057808) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL 0005027) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2016-12-28 |