| NPI | 1013950526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057807) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M0908) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2021-03-29 |