| NPI | 1477111300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CDR.0002874) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301506555) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-10-16 |