| NPI | 1114074044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0051108) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101008368) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-06-26 |