| NPI | 1013993187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0051488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 27445) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2016-08-15 |