| NPI | 1033552484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0064345) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA a132978) |
| 207Q00000X Family Medicine (Licence: FL ME136741) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-04-30 |