| NPI | 1780847459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0068774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 254578-1) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-08-01 |