| NPI | 1679035968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0028983) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0069020) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL00075666) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-02-13 |