| NPI | 1083033419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2024-02738) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR0058601) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2025-04-02 |