| NPI | 1780730317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0046058) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO Tl-1877) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-02-05 |