| NPI | 1649298746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 43943) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.OO43943) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-08-23 |