| NPI | 1689935868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0058429) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 04646) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-04-13 |