| NPI | 1225658172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0067279) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL.0008320) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-06-27 |