| NPI | 1124311071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0053698) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD173401) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2023-11-30 |