| NPI | 1336704253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 717849) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0073008) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2025-01-17 |