| NPI | 1356960272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1020073) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0071070) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2024-12-12 |