| NPI | 1437122306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0067650) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101233486) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2022-04-22 |