| NPI | 1063408359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0072059) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD24096) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2026-05-07 |