| NPI | 1447813241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0066088) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL.0007829) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2022-06-28 |