| NPI | 1710156278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0051716) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101242249) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2016-07-28 |