| NPI | 1417649443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0073666) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0009968) |
| 207Q00000X Family Medicine (Licence: CO TL.0009968) | |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2024-08-12 |