| NPI | 1154663003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0057683) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60576002) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2024-07-01 |