| NPI | 1457615189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0052880) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q5619) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2024-05-20 |