| NPI | 1639268808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0068121) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 21879) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-05-23 |