| NPI | 1487303939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0071915) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS22468) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2026-05-26 |