| NPI | 1326625229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.69241) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL.0008553) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-09-09 |