| NPI | 1487915294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 51258) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0074539) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2025-03-17 |