| NPI | 1902395775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0073852) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 19160) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-08-28 |