| NPI | 1023072774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0055282) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 056983) |
| 207Q00000X Family Medicine (Licence: FL ME81731) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2019-10-28 |