| NPI | 1174536981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0039662) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC 600003168) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2025-10-07 |