| NPI | 1952891475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0065609) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T8271) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2022-08-08 |