| NPI | 1215910328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0044672) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 112940) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-03-03 |