| NPI | 1407351224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 13126A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0062940) |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2024-01-04 |