| NPI | 1730317447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0051629) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R71375) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2024-05-14 |