| NPI | 1740643238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0062310) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 335273) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-05-09 |