| NPI | 1043847338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0074106) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 13320570-1205) |
| 207V00000X Obstetrics & Gynecology (Licence: CO DR.0074106) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-11-05 |