| NPI | 1639601263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0060453) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OR DO204822) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO DR.0060453) | |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2022-11-14 |