| NPI | 1609095470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0063681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 6672) |
| 207Q00000X Family Medicine (Licence: IA 38667) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-02-25 |