NPI | 1073180360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0072828) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2021020454) |
Enumeration Date | 2021-06-07 |
Last Update Date | 2024-06-28 |