| NPI | 1013354091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0070492) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60494298) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-07-06 |