| NPI | 1942289806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 38825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0038825) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2019-06-11 |