| NPI | 1073180360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2021020454) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0072828) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-05-22 |