| NPI | 1710910831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0056124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0056124) |
| 207Q00000X Family Medicine (Licence: OR DO27740) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-11-09 |