| NPI | 1275158131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0071502) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11955) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-07-28 |