| NPI | 1619364015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059543) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10052470) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-06-15 |