| NPI | 1720377740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0052834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0052834) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2024-01-07 |