| NPI | 1912086760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 48197) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 44913) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-03-06 |