| NPI | 1528676152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0075628) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO8607) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2025-07-21 |