| NPI | 1467718866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0053941) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2021-01194) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2026-01-22 |