| NPI | 1740676980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0076320) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX R8702) |
| 207Q00000X Family Medicine (Licence: TX R8702) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2026-03-17 |