| NPI | 1861995789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 25462120000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 9111168) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 9111168) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2024-12-13 |