| NPI | 1013175561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0055293) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS014470) |
| 207Q00000X Family Medicine (Licence: NE 917) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2024-11-18 |