| NPI | 1023266319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL os9951) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 46687) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2017-03-28 |