| NPI | 1174010060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0063073) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL.0007182) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2021-10-14 |