| NPI | 1851386007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CDRH.0039625) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 21013) |
| 207Q00000X Family Medicine (Licence: CO 39625) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2023-06-02 |