| NPI | 1417480799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 16023A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0061304) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-08-30 |