| NPI | 1164928099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2020-0909) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0073002) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2024-04-29 |