| NPI | 1689935173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057905) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS13218) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2023-02-16 |