| NPI | 1972732444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0048781) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL2999) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2021-06-22 |