| NPI | 1093409047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.74446) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL.0009969) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2026-08-25 |