| NPI | 1659991917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0068331) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL.0008333) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2024-08-23 |