| NPI | 1467871160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0062773) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101262156) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-06-04 |