| NPI | 1518315795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0066684) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A151523) |
| Enumeration Date | 2016-05-29 |
| Last Update Date | 2024-06-12 |