| NPI | 1356704167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.00762278) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2019-0713) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-12-03 |