| NPI | 1730876160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0073715) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL.0009638) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2024-08-09 |