| NPI | 1568999605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0060933) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 61558) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2024-01-03 |