| NPI | 1952720575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2020029415) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0056816) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-05-02 |