| NPI | 1871532119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0031180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 4641) |
| 207Q00000X Family Medicine (Licence: CO 31180) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-02-20 |