| NPI | 1891876116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 45135) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL-1797) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-06-15 |