| NPI | 1750841680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0072602) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 74149) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-07-08 |