| NPI | 1053979534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0064975) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.46000) |
| 207Q00000X Family Medicine (Licence: CO TL0007769) | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2024-09-06 |