| NPI | 1659861276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0069358) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-15345) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-02-06 |