| NPI | 1861811267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0065888) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A139408) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-02-14 |