| NPI | 1568048940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0077410) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2023043411) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2026-05-15 |