| NPI | 1679941132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0061306) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 1679941132) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2023-03-08 |