| NPI | 1023341443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0064612) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 4960) |
| 207Q00000X Family Medicine (Licence: TX R3756) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2022-02-24 |