| NPI | 1003997586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CO DR.0044959) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 29555) |
| 174400000X Specialist (Licence: CO 44959) | |
| 174400000X Specialist (Licence: CA A82440) | |
| 207Q00000X Family Medicine (Licence: CO 44959) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-03-17 |