| NPI | 1467461483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0039090) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 39090) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2022-09-19 |