NPI | 1689868689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 51353) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT191827) |
208M00000X Hospitalist (Licence: CO DR.0051353) | |
Enumeration Date | 2007-09-01 |
Last Update Date | 2023-01-25 |