| NPI | 1083926091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0073132) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 244697) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2024-06-17 |