| NPI | 1073699468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0054694) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A90605) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-04-08 |