| NPI | 1386137537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO Dr.0068987) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 12999A) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-01-22 |