| NPI | 1053843557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.006028) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0060628) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2024-03-14 |