| NPI | 1134115264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0061183) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 28805) |
| 207Q00000X Family Medicine (Licence: SC TL28805) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2024-11-19 |