| NPI | 1093125593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 007391) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 00000000) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2017-10-02 |