| NPI | 1225127160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CDRH.0050612) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 50612) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-01-18 |