| NPI | 1326202896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0060586) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 52007) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2024-03-07 |