| NPI | 1174918346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057546) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0005520) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-04-30 |