| NPI | 1548655640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0067915) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R6052) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-09-29 |