| NPI | 1780264614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0076252) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V1126) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-10-20 |