| NPI | 1932403987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057385) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A-1600-11) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2023-10-30 |