| NPI | 1700236668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0062288) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116029498) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2019-06-21 |